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Individual

DANIELLE P GLYNN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
2020 CENTRE ST, WEST ROXBURY, MA 02132-3316
(781) 437-1323
Mailing address
49 CROSBY ST, QUINCY, MA 02169-3157
(617) 840-5921

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
310728
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1312677
MA
01
M18708
BLUE CROSS
MA
Enumeration date
05/29/2009
Last updated
05/29/2009
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